Bidders List Questionnaire

Connecticut Department of Transportation Bidders List Questionnaire

In accordance with Title 49, Section 26.11 of the Code of Federal Regulations, the following bidders list information for all DBE and non-DBEs who bid as subcontractors (in addition to prime contractors) must be collected by the Connecticut Department of Transportation on federally assisted contracts.
This information will be used for USDOT reporting only.
Effective XX/XX/XXXX
[49 CFR 26.11]: https://www.ecfr.gov/current/title-49/subtitle-A/part-26/subpart-A/section-26.11

Upload a file with your information*

An Excel spreadsheet template is provided when you select the “Upload a File” option. The Excel template is CTDOT’s preferred method of receiving your information. However, if the Excel file doesn’t work for you, you can select “Fill Out this Form” and manually enter information directly into the form. Note you will have to submit separate forms for each firm: one for yourself (the prime contractor) and one for each sub who quoted to you on this bid.

Fill Out this Form

Upload a File

Form Filler Email Address *

Please download and save a copy of the file linked below, type in data for all the firms you're reporting on and then upload the file here. *

ContractorBidTemplate.xlsx

File

Connecticut Department of Transportation Bidders List Questionnaire

Upload a file with your information*

Form Filler Email Address *

Please download and save a copy of the file linked below, type in data for all the firms you're reporting on and then upload the file here. *

Basic Information

Tell us about you. *

Project Number *

Original Date of Bid Opening*

Contractor Information

Contractor Firm Name *

Street Address *

Address 2

City *

State *

Zip Code *

Contractor Background

Is this firm currently certified as a Disadvantaged Business Enterprise? *

Please select each State in which this firm is certified as a DBE (if known)

By what agency(ies) is this firm certified as a DBE (e.g., MassDOT, NJTransit, etc.)? (if known)*

The race of this firm's majority owner *

Gender of this firm's majority owner *

List the NAICS codes applicable to each scope of work this contractor is seeking to perform as part of the bid.*

Age of this firm (in number of years) *

This firm's Annual Gross Receipts *